Amended Statement of Changes in Beneficial Ownership (4/a)
February 01 2018 - 4:19PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Chan Sidney
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2. Issuer Name
and
Ticker or Trading Symbol
ALR TECHNOLOGIES INC.
[
ALRT
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
__
X
__ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
CEO
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(Last)
(First)
(Middle)
23 H BLOCK III RIVIERA GARDEN
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3. Date of Earliest Transaction
(MM/DD/YYYY)
5/29/2015
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(Street)
TSUEN WAN,, K3
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
3/11/2011
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Options
(1)
(3)
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$0.03
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3/6/2011
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A
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35750000
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3/6/2011
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5/29/2020
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Common Stock
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35750000
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$0.002
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35750000
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D
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Stock Options
(1)
(3)
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$0.03
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3/7/2010
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A
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20000000
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3/7/2010
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5/29/2020
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Common Stock
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20000000
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$0.002
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20000000
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D
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Stock Options
(1)
(3)
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$0.03
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12/28/2012
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A
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50000000
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12/28/2012
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5/29/2020
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Common Stock
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50000000
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$0.002
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50000000
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D
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Stock Options
(1)
(3)
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$0.03
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12/28/2012
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A
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14250000
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12/28/2012
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5/29/2020
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Common Stock
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14250000
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$0.002
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14250000
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D
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Stock Options
(1)
(3)
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$0.03
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4/1/2014
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A
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83333400
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4/1/2014
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5/29/2020
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Common Stock
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83333400
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$0.002
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83333400
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D
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Stock Options
(1)
(3)
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$0.03
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4/1/2014
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A
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26666700
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4/1/2014
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5/29/2020
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Common Stock
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26666700
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$0.002
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26666700
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D
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Stock Options
(2)
(3)
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$0.015
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5/29/2015
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A
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330000100
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5/29/2015
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5/29/2020
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Common Stock
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330000100
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$0.002
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330000100
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D
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Stock Options
(4)
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$0.002
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7/1/2016
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A
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4390001300
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7/16/2016
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7/1/2021
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Common Stock
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4390001300
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$0.002
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4390001300
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D
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Explanation of Responses:
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(1)
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On May 29, 2015, the options I held to acquire 230,000,1000 shares of common stock of the Company at an exercise price of $0.03 per share was modified so as to be exercisable at a price of $0.015 per share and the expiry date was extended to May 29, 2020;
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(2)
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On May 29, 2015, I was granted the option to acquire 330,000,1000 shares of common stock of the Company at a price of $0.015 per share for a term of five years;
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(3)
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On July 1, 2016, the options I held to acquire 560,000,2000 shares of common stock of the Company at an exercise price of $0.015 per share was modified so as to be exercisable at a price of $0.002 per share, and
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(4)
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On July 1, 2016, I was granted the option to acquire 4,390,001,300 shares of common stock of the Company at a price of $0.002 per share for a term of five years
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Chan Sidney
23 H BLOCK III RIVIERA GARDEN
TSUEN WAN,, K3
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X
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X
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CEO
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Signatures
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/s/ Sidney Chan
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2/1/2018
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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